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+ Recognizing & Managing Compassion Fatigue Empower Idaho Webinar, June 18, 2018 2:00 – 3:30 pm 2018 Compassion Fatigue Awareness Project

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Page 1: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+

Recognizing & Managing

Compassion Fatigue

Empower Idaho

Webinar, June 18, 2018

2:00 – 3:30 pm

2018 Compassion Fatigue Awareness

Project

Page 2: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+Today’s Agenda: Recognizing &

Managing Compassion Fatigue

• What is Compassion Fatigue?

• On the Job Stresses & Burnout

• Compassion Fatigue in the Workplace

• Managing Compassion Fatigue

• Strategies to Promote Wellness

• Resources

2018 Compassion Fatigue Awareness Project

Page 3: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+Healthy vs Unhealthy Caregivers

The ultimate goal in creating healthy caregivers is

so we can master the art of resiliency and return

quickly to high-functioning behaviors after

enduring a traumatic event or incident.

2018 Compassion Fatigue Awareness Project

Page 4: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+Why Healthy Caregiving?

2018 Compassion Fatigue Awareness Project

Page 5: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+Seven Forms of Human Wellness

Physical Emotional Spiritual Social

Intellectual Environmental Occupational

When creating a Self-Care Plan, choose one area of

wellness to begin your journey. Which area of

improved wellness will be most beneficial to you?

2018 Compassion Fatigue Awareness Project

Page 6: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+What is Compassion Fatigue?

“Compassion Fatigue is a state experienced by those helping people or animals in distress; it is an extreme state of tension and preoccupation with the suffering of those being helped to the degree that it can create a secondary traumatic stress for the helper.”

Dr. Charles Figley

Professor, Paul Henry Kurzweg Distinguished Chair

Director, Tulane Traumatology Institute

Tulane University, New Orleans

2018 Compassion Fatigue Awareness Project

Page 7: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+What is Compassion Fatigue?

Compassion Fatigue is a combination of physical,

emotional, and spiritual depletion associated

with the trauma-related work we do where

people or animals are in significant emotional

pain and/or physical distress.

2018 Compassion Fatigue Awareness Project

Page 8: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+What are the Symptoms?

Isolation

Emotional outbursts

Sadness, apathy

Impulse to rescue anyone

in need

Persistent physical

ailments

Substance abuse

Hypervigilance,

hyperarousal

Recurring nightmares or

flashbacks

Excessive complaints

about colleagues,

management, and/or

those being helped

2018 Compassion Fatigue Awareness Project

Page 9: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+What is Compassion Fatigue?

“I just want to be left alone. There is always someone wanting something from me and I have nothing left to give.”

- Carole M. / Social Worker

2018 Compassion Fatigue Awareness Project

Page 10: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+What is Compassion Fatigue?

“Every time I hear the bell go off, my pulse

races, my heart beats so fast I think it’s going to

jump out of my chest. I try to breathe deeply to

calm myself down, but I can’t even catch my

breath.”

- Ken W. / 30-Year Firefighter Veteran

2018 Compassion Fatigue Awareness Project

Page 11: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+What is Compassion Fatigue?

“I sometimes wonder why I work in elder care. There really

isn’t much hope for the future of the residents. They arrive

and they never leave. I watch the families and friends suffer

because they know with 100% accuracy that they are

constantly saying goodbye to their loved one. Loss after loss

after loss leaves me empty. ”

- Matt B./Manager, 15 years in elder care

facility

2018 Compassion Fatigue Awareness Project

Page 12: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+What is Compassion Fatigue?

“I’m getting to the point where I don’t even want

to go to sleep at night. I see images of the day

that both frighten and upset me – almost every

night.”

- Graciela V. / ER Nurse

2018 Compassion Fatigue Awareness Project

Page 13: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+What are the Causes?

Other-Directedness: Putting the needs of others before our own

Providing service to others w/stress & work-related trauma

Lack of personal and/or professional coping skills

Lack of personal boundaries

Overdeveloped sense of responsibility

Practice of minimizing traumatic events

History of unresolved childhood trauma

2018 Compassion Fatigue Awareness Project

Page 14: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+Unresolved Past Pain & Trauma

“Unexpressed emotions will

never die.

They are buried alive and will

come forth later in uglier

ways.”

Sigmund Freud

2018 Compassion Fatigue Awareness Project

Page 15: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+On the Job Stresses

Stress is about being

anxious: work-related

overload, too much

Burnout is about being

worn out: work-related

hopelessness and feelings

of inefficacy, too little

PTSD is a primary stress

disorder: work-related

exposure to extreme or

traumatic events

STS is a secondary stress

disorder: Work-related

secondary exposure to

extreme or traumatic events

involving people or animals

2018 Compassion Fatigue Awareness Project

Page 16: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+Managing Stress

Identify your source(s) of stress

Educate yourself about the effects of stress

on YOUR body, mind and spirit

Identify unhealthy coping methods

Adopt healthy coping mechanisms

Tighten your personal boundaries

Practice empathic discernment

2018 Compassion Fatigue Awareness Project

Page 17: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+Learn to Protect Yourself…

on and off the job.

2018 Compassion Fatigue Awareness Project

Page 18: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+Remember…

2018 Compassion Fatigue Awareness Project

Page 19: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+Physical Ailments

“Society has not woken fully to the frequency with which

people unconsciously think themselves ill. Psychosomatic

disorders are physical symptoms that mask emotional

distress. There are many people whose sadness is so

overwhelming that they cannot bear to feel it. In its place,

they develop physical disabilities. When words are not

available, our bodies sometimes speak for us.”

-Suzanne O’Sullivan MD

Compassion Fatigue Awareness Project 2018

Page 20: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+Adverse Childhood Experiences Childhood experiences, both positive and negative, have a

tremendous impact on future violence victimization and

perpetration, and lifelong health and opportunity. As such,

early experiences are an important public health issue. Much

of the foundational research in this area has been referred to

as Adverse Childhood Experiences (ACEs) and has been

linked to

risky health behaviors,

chronic health conditions,

low life potential, and

early death.

As the number of ACEs increases, so does the risk for these

outcomes. Center for Disease Control 2017

2018 Compassion Fatigue Awareness Project

Page 21: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+History of Unresolved Childhood

Trauma revisited…

Confused

Overwhelmed

Worried

Anxious

Saddened

Out of Control

Helpless

Hopeless

Fearful

Hypervigilant

Compassion Fatigue Awareness Project 2018

Page 22: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+What is Organizational CF?

Organizational Compassion Fatigue exists when a high

percentage of staff exhibit elevated levels of Compassion

Fatigue. This leads to a loss of meaning of the

organization’s mission. Dysfunction seeps into the

processes and procedures that keep the organization

focused, productive and healthy.

2018 Compassion Fatigue Awareness Project

Page 23: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+What are the Symptoms of

Organizational CF?

High absenteeism

Elevated rate of Workers Comp Claims

Lack of flexibility

Tendency to break rules

“Us versus Them” mentality

Strong reluctance to

change

Lack of vision for the

future

Undermining the mission of the organization

2018 Compassion Fatigue Awareness Project

Page 24: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+Strategies for Managing

Compassion Fatigue

Create balance between work, relationships & “me-time”

Build a healthy support system

Practice authentic, sustainable self-care daily

Stay in the complexity of the crisis situation –practice mindfulness

Recognize Emotional Vampires

Simplify your life

Strengthen resiliency coping skills

Create a Personal Mission Statement & Self-Care Plan (DOT)

Take the Professional Quality of Life Self-Test regularly

Stop Sliming

Elevate Compassion Satisfaction Levels

2018 Compassion Fatigue Awareness Project

Page 25: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+Mindfulness

The quality or state of being

mindful; the practice of

maintaining a non-judgmental

state of heightened or complete

awareness of one’s thoughts,

emotions, or experiences on a

moment-to-moment basis.

Compassion Fatigue Awareness Project 2018

Page 26: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+Mindfulness

2018 Compassion Fatigue Awareness Project

Page 27: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+

2018 Compassion Fatigue Awareness Project

Page 28: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+

“Energy vampires are people who suck our

energy dry. Everyone can benefit from

skills on how to cope with them. You can

especially benefit if you are an intuitive

empath, who absorbs the pain and

negativity of others into your body – and

become exhausted by it.” – Dr. Judith Orloff

2018 Compassion Fatigue Awareness Project

Emotional Vampires

Page 29: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+10 Factors in Building Resiliency

Be Optimistic

Be Flexible

Identify your core value system

Have faith

Identify positive role models

Use your intelligence

Face your fears

Find meaning in difficult times

Compassion Fatigue Awareness Project 2018

Page 30: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+Creating a Self-Care Plan

Take the time to create a plan for

yourself.

Write ONE measurable,

accountable goal**

**DOT

2018 Compassion Fatigue Awareness Project

Page 31: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+Set One Measurable, Accountable Goal

I will go to the gym Monday, Wednesday and

Friday for 45 minutes

I will take a nutrition class this spring and apply

what I learn to my daily diet

I will lose 10 lbs in 3 months by keeping my calorie

intake at 1500 calories daily

Hold yourself accountable!

2018 Compassion Fatigue Awareness Project

Page 32: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+The Way It Works…

2018 Compassion Fatigue Awareness Project

A DREAM written down with a date

becomes a GOAL.

A GOAL broken down into steps

becomes a PLAN.

A PLAN backed by ACTION

becomes REALITY.

Page 33: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+Personal Mission Statement Examples

Kindness before everything else.

Actively listen not to respond, but to understand.

Love is all I need.

Humor will see me through.

Start slow and taper off.

Everyone counts.

Wake up daily with a grateful heart.

.

2018 Compassion Fatigue Awareness Project

Page 34: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+Professional Quality of Life

Professional Quality of Life

Compassion Satisfaction

“the good stuff”

Compassion Fatigue

“the bad stuff”

Burnout Secondary Trauma

2018 Compassion Fatigue Awareness Project

Page 35: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+Sliming

When helpers hear and see difficult things in

the course of their work, the most normal

reaction in the world is to want to debrief with

someone, to alleviate a little bit of the burden

that they are carrying. It is healthy to turn to

others for support and validation. The problem

is that we are often not doing it properly. The

problem is also that colleagues don’t always ask

us for permission before debriefing their

stories with us.

2018 Compassion Fatigue Awareness Project

Page 36: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+What is Compassion Satisfaction?

“Compassion Satisfaction is the pleasure we derive from doing the caregiving work we do. Higher levels of Compassion Satisfaction lead to becoming healthier, more effective caregivers.”

Source: Dr. Beth Hudnall Stamm

2018 Compassion Fatigue Awareness Project

Page 37: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+What is Compassion Satisfaction?

The positive aspects of caregiving

Pleasure & satisfaction derived from caregiving.

Compassion Satisfaction may be related to:

Creating positive experiences and outcomes for those in our care.

Working as a team with family members or colleagues.

Being able to share our experiences and knowledge with others.

Recognizing that caregiving is a gift and the caregiver also benefits from the kindness.

2018 Compassion Fatigue Awareness Project

Page 38: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+Best Practices for Management

Educate staff about Compassion Fatigue

Create a space for meditation or silence

Debrief as a group after a traumatic event

Allow staff to have input to improve the working environment

Create an organizational Wellness Program

Practice MBWA- Rounding

Offer nutritious food at meetings and events

Take lunch breaks daily & breathers throughout the day

Learn to recognize Organizational Compassion Fatigue

2018 Compassion Fatigue Awareness Project

Page 39: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+0n-the-Spot Self Care Practices

Breathe deeply

Laugh

Journal

Take a brisk walk

Stretch

Talk to a trusted friend

Eat a nutritious snack

Practice Letting Go ritual

Meditate/pray

Read a favorite quote or

Mission statement

Listen to music

2018 Compassion Fatigue Awareness Project

Page 40: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+Six Steps to Healthy Caregiving

1. Build Resiliency

2. Cultivate Compassion

3. Improve Coping Skills

4. Support Your Colleagues

5. Embrace Self-Confidence

6. Manage Change

2018 Compassion Fatigue Awareness Project

Page 41: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+Ten Words to Live By

Trauma Emotional reaction following a difficult event

Empathy Opening our hearts to the suffering of others

Compassion Upon seeing suffering, we are moved to act

Compassion Fatigue Secondary traumatic stress

Compassion Satisfaction The pleasure we derive from caregiving work

Resiliency Ability to bounce back after a traumatic event

Authenticity Finding your True North – the real you

Sustainability The behaviors & actions that carry us through

Vulnerability Being fully open to a wide range of emotions

Healthy Caregiving The ability to be fully present/in the moment

2018 Compassion Fatigue Awareness Project

Page 42: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+Compassion Fatigue Resources

www.compassionfatigue.org

www.healthycaregiving.com

www.facebook.com/compassionfatigue

www.tedxsanjuanisland.com/2016/

www.proqol.org

www.drjudithorloff.com

www.brenebrown.com

www.greatergood.berkeley.edu

2018 Compassion Fatigue Awareness Project

Page 43: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+A thought from author Henry

James…

“Three things in human life are

important: the first is to be kind; the

second is to be kind; and the third is

to be kind.”

2018 Compassion Fatigue Awareness Project

Page 44: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+What Kindness Doesn’t Look

Like…

2018 Compassion Fatigue Awareness Project

Page 45: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+What Kindness Does Look Like…

2018 Compassion Fatigue Awareness Project

Page 46: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+And this…

2018 Compassion Fatigue Awareness Project

Page 47: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+And this…

2018 Compassion Fatigue Awareness Project

Page 48: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+And this…

2018 Compassion Fatigue Awareness Project

Page 49: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+And this…

2018 Compassion Fatigue Awareness Project

Page 50: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+And this…

2018 Compassion Fatigue Awareness Project

Page 51: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+And this…

2018 Compassion Fatigue Awareness Project

Page 52: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+And this…

2018 Compassion Fatigue Awareness Project

Page 53: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+True Heroism…

“True heroism is remarkably

sober, very undramatic. It is

not the urge to surpass all

others at whatever cost, but

the urge to serve others at

whatever cost.”

- Arthur Ashe

2018 Compassion Fatigue Awareness Project

Page 54: Recognizing & Managing Compassion Fatigue...Strategies for Managing Compassion Fatigue Create balance between work, relationships & “me-time” Build a healthy support system Practice

+

Recognizing & Managing

Compassion Fatigue

Empower Idaho

Webinar, June 18, 2018

2:00 – 3:30 pm

2018 Compassion Fatigue Awareness

Project